J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(8):1254-1259.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1254    Published online August 15, 2016.
Diagnostic Availability of Ultra-Wide-field Fundus Imaging in Korean Patient with Retinal Break.
Hyun Min Ahn, Tyler Hyungtaek Rim, Eun Jee Chung
1Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. eunjee95@nhimc.or.kr
한국인 망막 열공 환자에서 초광각 안저촬영술의 진단적 유용성
안현민1,2⋅임형택2⋅정은지2
연세대학교 의과대학 안과학교실1, 국민건강보험 일산병원 안과2
Correspondence:  Eun Jee Chung,
Email: eunjee95@nhimc.or.kr
Received: 4 February 2016   • Revised: 24 May 2016   • Accepted: 7 July 2016
Abstract
PURPOSE
To evaluate the availability of ultra-wide-field fundus photography compared to fundus examination after pupil dilatation in Korean patients with retinal break. METHODS: For this retrospective case review of consecutive 160 patients, 230 lesions with retinal breaks were recruited. The ultra-wide-field images were taken after fundus examination with pupil dilatation performed by a retinal specialist. We analyzed ultra-wide-field images according to patient characteristics and separated area. We divided lesions into anterior and posterior areas, and each area was separated into 4 quadrants (superior, inferior, temporal, and nasal). RESULTS: The sensitivity of ultra-wide-field imaging for detecting retinal break was 72% (95% confidence interval [CI] 65-79%), and the specificity was 94% (95% CI 90-98%). The sensitivity of detection of posterior retina was 89% (95% CI 85-93%), and that of anterior retina was 72% (95% CI 66-78%); this difference was significant (p = 0.007). There was a significant statistical difference at the inferior quadrant between anterior and posterior retina, but not at superior, temporal, or nasal quadrants. The sensitivity of detection in the inferior quadrant in the anterior retina was 43% (95% CI 29-57%). CONCLUSIONS: Ultra-wide-field fundus photography can detect retinal break, but there is limitation in anterior retinal lesions, especially the inferior area. Therefore, ultra-wide-field fundus photography cannot be an alternative method instead of fundus examination with pupil dilatation.
Key Words: Optomap;Peripheral retina;Retinal break;Ultra-wide-field imaging


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